Requisition Form

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Requisition Form

Please click on the requisition form to open up the pdf file. Once it opens, you can then print and fill in the form. Along with the tissue blocks or unstained slides, you can submit your request to NP 3520. You can also fax the completed form to 205-975-7834 if it is an UAB case. Currently, we are not able to accept requests electronically. If you don't have Acrobat Reade, please on the icon below to download Arobat Reader free.

 
 

 


 

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Questions or problems regarding this web site should be directed to [dchhieng@path.uab.edu].
Copyright © 2005 [UAB IHC laboratory]. All rights reserved.
Last modified: 06/02/05.